ASHLEY LYNN NICHOLS (FNP-C) – Family Nurse Practitioner, NPI 1639619943

ASHLEY LYNN NICHOLS (FNP-C) is a healthcare provider. based in Timpson, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. APP133508 (TX). The NPI Number for ASHLEY LYNN NICHOLS (FNP-C) is 1639619943

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
ASHLEY LYNN NICHOLS (FNP-C)
NPI
1639619943
Phone
(936) 254-3338
Address
507 Jacob St
Enumeration Date
6 March 2017
Last Update Date
18 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035414500
Graduation Year
2016 (10 years ago)
PAC ID
1355626615
Group Practice PAC ID
6305295429
Professional Enrollment ID
I20170329000203
Address ID
TX757665822JA2026XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ASHLEY LYNN NICHOLS (FNP-C)

  • 507 Jacob St

    Timpson, TX 759755255

    Phone: (936) 254-3338

    Fax: (936) 254-3339

    Type: Location

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752847522

    Phone: (903) 531-5000

    Type: Mailing

  • 507, Jacob Street, Timpson, Shelby County, Texas, 75975, United States

    TIMPSON, TX 75975

    Phone: (936) 254-3338

    Fax: (936) 254-3339

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170329000203INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75975)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305295429View full group profile
NameSpecialtyState
Nurse PractitionerTX
H O S P I T A L I S TNE
Hospitalist, GastroenterologyTX
Internal MedicineTX
Hospitalist, Internal MedicineTX
Internal MedicineTX
Nurse PractitionerTX
H O S P I T A L I S TTX
Family PracticeTX
Internal MedicineTX

Reviews

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Frequently asked questions

How do I look up ASHLEY LYNN NICHOLS (FNP-C) by NPI?
Use NPI 1639619943 when you need to reference ASHLEY LYNN NICHOLS (FNP-C) in forms, claims, or directories.
Does this profile mean ASHLEY LYNN NICHOLS (FNP-C) is currently active?
Yes — ASHLEY LYNN NICHOLS (FNP-C) appears active in the national provider directory.
What does ASHLEY LYNN NICHOLS (FNP-C) treat or focus on?
Patients typically see ASHLEY LYNN NICHOLS (FNP-C) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for ASHLEY LYNN NICHOLS (FNP-C)?
The page summarizes Timpson, Texas for ASHLEY LYNN NICHOLS (FNP-C); expand the address list for detail.
How can I contact ASHLEY LYNN NICHOLS (FNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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